Exenatide - subcutaneous

Patient Medicine Information
Why do I need this medicine?
Exenatide is used together with other medicines to treat type 2 diabetes.

This medicine helps treat your diabetes by keeping your blood sugar in control.

Exenatide is meant to be used as part of a complete diabetes care programme that should include exercise, a healthy diet and regular monitoring of blood sugar.
How do I use this medicine?
Use Exenatide exactly as directed by your doctor or according to the instructions on the label. Do not inject more or less than instructed by your doctor.

This medicine should be injected subcutaneously (into the fatty layer under the skin, usually in the thigh, upper arm or abdomen area).

Inject this medicine anytime within 60 minutes before the morning and the evening meal or before the 2 main meals of the day.

DO NOT inject Exenatide after a meal. Try to administer it at the same time each day.

If your doctor had asked you to inject this medicine on your own at home, follow his instructions carefully. Your doctor or nurse will teach you how to prepare and administer this medicine.

How to use Exenatide:

1. This medicine comes with a device called injection pen. Prepare the injection pen as instructed by your doctor or nurse.
2. Attach the needle to the injection pen. Ensure that the needle is screwed on securely.
3. Dial the correct dose.
4. Swab the injection site area with alcohol.
5. Hold the injection pen with your thumb over the injection button.
6. Press the injection pen against your body using the subcutaneous (under the skin) injection method.
7. Use your thumb to push the injection button until it stops. Continue to hold the injection button in that position while slowly counting to 5 to get a full dose.
8. Withdraw the injection pen from your body.
9. Remove the needle from the pen. Never store the injection pen with the needle attached.
10. Reset your pen as instructed by your healthcare provider.
11. Throw away the used needle. Recap your pen and store below 25°C.
12. Use a new needle in every administration of Exenatide.

Remember to rotate the choice of injection site area. Do not inject into the same area all the time. Do not inject within a 1 inch radius in the navel (belly button). New injection sites should be at least 1.5 inches away from the previous injection site.

Do not share your Exenatide injection with anyone else.

This medicine must be used regularly for it to be effective. Do not stop using it unless instructed by the doctor.
What should I do if I have forgotten to use this medicine?
If you miss a dose, skip the missed dose and return to your normal dosing schedule.

DO NOT double a dose under any circumstances.

If you often forget to administer your medicine, let your doctor and pharmacist know.
What should I take note of while using this medicine?
Inform your doctor if you have the following conditions:

- kidney disease
- stomach disorder such as indigestion or gastroparesis (delayed emptying of food from the stomach)
- diabetes type 1

Let your doctor know if you are pregnant or breastfeeding.

Keep your appointments with your doctor. Your doctor may need to do blood tests to monitor your condition and check your response to the medication regularly.

If you are using Exenatide with other types of anti-diabetic medicines, you may have been warned about hypoglycaemia. Hypoglycaemia is the medical term for low blood sugar. Exenatide itself does not usually cause hypoglycaemia, but it may increase the hypoglycaemic effect of other anti-diabetic medicines.

How do I know if I am experiencing hypoglycaemia?

Some of the symptoms of hypoglycaemia include dizziness, headache, shaky hands, feeling hungry, weak or confused, problems speaking. These symptoms are your body's way of warning you that your blood sugar is dangerously low.

It is important to recognise these symptoms and get relief for hypoglycaemia quickly, as hypoglycaemia could get worse and you might faint.

What should I do if I am experiencing hypoglycaemia?

Always carry some glucose tablets (also known as dextrose tablets) with you. Take a tablet at the first sign of hypoglycaemia. As Exenatide prevents the digestion of other kinds of sugar, only glucose (dextrose) tablets should be used to treat hypoglycaemia if you are on this medicine.
What side effects could I experience?
Exenatide may cause dizziness. If affected, do not drive or take part in any activity in which you need to be alert.

This medicine may cause any of the following side effects: nausea, vomiting, diarrhoea, constipation, loss of appetite, headache, tiredness, weakness, indigestion, excessive sweating, feeling jittery or nervous and an injection site reaction.

Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Can I use this with other medicines?
Inform your doctor if you are taking any of these medicines:

- other medicines for diabetes e.g. insulin
- medicines for blood clot e.g. warfarin
- medicines for high cholesterol level e.g. lovastatin
- paracetamol (fever medicine)
- medicines for heart disease e.g. digoxin

Inform your doctor if you are currently taking birth control pills as this can reduce the effectiveness of Exenatide. You should not stop or start any birth control pills without first informing your doctor. Ask your doctor about using non-hormonal birth control as an alternative while being treated with this medicine.

This list does not include all medicines that may interact with Exenatide.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
What special dietary instructions should I follow?
Avoid alcohol.
How should I store this medicine?
If you have not yet opened it, store Exenatide in the refrigerator between 2 - 8°C.

Once you have opened it, store the medicine at room temperature (below 25°C) away from direct sunlight. It will expire after 30 days. Medicines must not be used past the expiry date.

Do NOT freeze Exenatide. Once frozen, the medicine should not be used.

Do not use this medicine if it has changed colour, becomes cloudy or if you notice particles floating in the solution.

Keep this medicine away from the reach of children.
This information is independently developed by MIMS based on exenatide - subcutaneous and is provided for your reference only. It is not a replacement for and should only be used in conjunction with full consultation with a licensed healthcare professional, the information provided by your pharmacist and/or the manufacturer of the medication. It may not contain all the available information you require and cannot substitute professional medical care, nor does it take into account all individual circumstances. Although great effort has been made to ensure content accuracy, we shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2020 MIMS. All rights reserved. Powered by MIMS.com
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